PT -期刊文章盟Eric m . Cheng盟Salomeh Keyhani盟-苏珊探讨盟琳达·威廉斯盟-保罗·l·赫伯特AU -戴安娜l . Ordin盟黎明m . Bravata TI -低使用颈动脉成像- 10.1212 / WNL minority-serving医院援助。0 b013e31825f04c5 DP - 2012 7月10 TA -神经首页病学第六PG - 138 - 144 - 79 IP - 2 4099 - //www.ez-admanager.com/content/79/2/138.short 4100 - //www.ez-admanager.com/content/79/2/138.full所以Neurology2012 7月10;79 AB -目的:护理我们决定网站是否解释了之前确定种族差异在颈动脉成像。方法:回顾性队列研究中,数据被从图表的退伍军人获得与缺血性中风住院127在2007年退伍军人管理医院。大量的排除标准被应用于获得一个样品应该收到了颈动脉成像。Minority-serving医院被定义为医院排名的前10%的中风患者比例是黑人。人口水平多元逻辑回归模型与调整相关的病人在医院被用来计算预测概率颈动脉成像的种族和minority-service医院的地位。引导被用来获得95%置信区间(CIs)。结果:样本包括1534名白人患者和628名黑人患者。将近40%的黑人患者承认13比1 minority-serving医院。没有种族差异在收到发现颈动脉成像nonminority为医院服务。 However, the predicted probability of receiving carotid artery imaging for white patients at nonminority-serving hospitals (89.7%, 95% CI [87.3%, 92.1%]) was significantly higher than both white patients (78.0% [68.3%, 87.8%] and black patients (70.5% [59.3%, 81.6%]) at minority-serving hospitals. Conclusions: Underuse of carotid artery imaging occurred most often among patients hospitalized at minority-serving hospitals. Further work is required to explore why site of care is a mechanism for racial disparities in this clinically important diagnostic test. CI=confidence interval; CMS=Centers for Medicare and Medicaid Services; CTA=CT angiography; FY=fiscal year; MRA=magnetic resonance angiography; OQP=Offices of Quality and Performance; PCS=Patient Care Services; VA=Veterans Health Administration; VAMC=Veterans Affairs Medical Center; WVMI=West Virginia Medical Institute